Radiology MRI

Below some cases with Covid-19 pneumonia. 88 years old male: Not much was seen on the scout image. Severe Covid-19 pneumonia: 28 years old male with Down syndrome, died 2 days later: 79 years old male Covid-19 basal pneumonia, died 10 days later: 62 years old male progress 5 days later (left image): 48 years old male: As you can see most cases present with diffuse "ground-glass" opacities in both lungs with some predilection to basal and dorsal fields. Pleural effusion is not common. Consolidations can be seen but not often. There is a tendency to progression of changes in time.

This is just a refresher of how lungs look like in cases of a severe viral pneumonia. Findings on both X-ray and CT are nonspecific for COVID-19 but those are the findings we can see. The important factor is progression of the lung changes and diffuse distribution in both lungs. There is some predilection for the peripheral and lower parts of the lungs. Opacities are more diffused of type "ground glass" compared to more dense in bacterial pneumonia. Increased interstitial pattern can be seen. The end result in severe cases is diffuse lung edema or ARDS that leads to death. 85 years old patient with heart failure. Note diffuse, mostly interstitial opacities in both lungs especially in the right upper lobe and apical segment of the left lower lobe. 57 years old patient, shortly on respirator that died with cause of death officially announced as heart failure. Note diffuse predominantly interstitial "ground-glass" opacities most prominent in the left up...

STR - Society of Thoracic Radiology just published a video about radiological findings of COVID-19. Here is a link to this video:  https://veritastv.org/programs/covid-19 Here are some important points: Complex RNA virus from SARS family that easily mutates. Causes respiratory distress requiring Intensive Care. WHO hoping that it will burn out in July like SARS. That's why isolation is important.  However it is more serious than SARS - data per 2020-03-10. It plateaus in China but goes up in Europe as for 2020-03-10. Now watch the video:  https://veritastv.org/programs/covid-19 Check also those excellent YouTube channels: Ninja Nerd Science  https://youtu.be/PWzbArPgo-o MedCram  https://youtu.be/9vMXSkKLg2I